Recurrent Obstetric Rectovaginal Fistula Treated By Acellular Interposition Graft. A Case Report

Journal Title: PARIPEX-Indian Journal of Research - Year 2015, Vol 4, Issue 3

Abstract

Obstetrical trauma is the most common cause of rectovaginal fistulas. Although having a low incidence (0.5-1% of vaginal births), rectovaginal fistulas produce devastating effects on women’s quality of life.We present the Romanian experience in treating recurrent rectovaginal fistulas using the technique of interposing acellular biological second generation Surgisis tissue graft. We report the case of a 33 years old patient who delivered vaginallya3200 grams weighing newborn10 years before,after a precipitate labor for which an episiotomy was performed, followed by the appearance of a rectovaginal fistula with numerous attempts of reconstruction. Following biological graft interposition the rectovaginal fistula was cured.In this case with multiple treatment attempts that led to major alterations in the vulvo-ano-perineal region we used the technique of episyoproctotomy with sphincter reconstruction and interposition of acellular tissue graft. Favorable postoperative course proved the method’s efficacy in this patient.Recurrent rectovaginal fistulas associated with sphincter muscle lesions can be approached by episyoproctotomy technique, which allows the reconstruction of the ano-perineal region. Surgisis Bio Design biological graft interposition is an alternative that can solve recurrent rectovaginal fistulas.

Authors and Affiliations

BRATILAE LVIRA, BRATILA CORNEL PETRE, COMANDASU DIANA- ELENA

Keywords

Related Articles

Chronic Kidney Disease, Pre and Post Hemodialysis

Chronic renal failure is the progressive loss of function of kidney and patient requires a long treatment in the form of renal replacement therapy. Hemodialysis is one of the widely used renal replacement therapy, during...

Functional outcomes following repair of fracture penis

Introduction:Penile fracture (FP) is characterised by disruption of the tunica albuginea with rupture of the corpus cavernosum caused by trauma to the erect penis. We evaluated the clinical presentation,operative details...

A STUDY ON THE IMPACT ON EMOTIONAL INTELLIGENCE AND SOCIAL INTELLIGENCE ON CAREER SUCCESS OF THE MSME ENTREPRENEURS

Emotional intelligence improves a individuals emotional stability and social intelligence allows an individual to get along with other people. Emotional stability and human relation are the important elements of the entr...

ASSESSMENT OF GROUNDWATER NEAR WASTE DUMPING YARDS

Physical, chemical and bacteriological analyses of water sampling from five bore wells located around landfill site at Mavallipura, Bengaluru was carry out to ascertain the magnitude of dumpsite pollution on groundwater...

A Study of Scholastic Achievement of Secondary School Students in relation to Home Environment

The present study was conducted on 400 secondary school students to assess the relationship between scholastic achievement and home environment dimensions as well as to compare the scholastic achievement of high home env...

Download PDF file
  • EP ID EP571338
  • DOI -
  • Views 81
  • Downloads 0

How To Cite

BRATILAE LVIRA, BRATILA CORNEL PETRE, COMANDASU DIANA- ELENA (2015). Recurrent Obstetric Rectovaginal Fistula Treated By Acellular Interposition Graft. A Case Report. PARIPEX-Indian Journal of Research, 4(3), 58-60. https://europub.co.uk/articles/-A-571338